Acute Portomesenteric Venous Thrombosis: Diagnosis and Treatment

Guy E. Johnson; Stephen K. Allison; David S. Shin

doi:10.1055/s-0038-1668096

Digestive Disease Interventions, Table of Contents

Digestive Disease Interventions 2018; 02(03): 249-255
DOI: 10.1055/s-0038-1668096

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Portomesenteric Venous Thrombosis: Diagnosis and Treatment

Authors

Guy E. Johnson

¹Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
Stephen K. Allison

¹Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington
David S. Shin

¹Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, Washington

Abstract

Acute portomesenteric venous thrombosis (PMVT) is an unusual cause of acute mesenteric ischemia. Because of its rarity and nonspecific presentation, radiologic imaging plays a key role in the diagnosis of acute PMVT. Medical management with anticoagulation is the mainstay of therapy, with surgery reserved for patients suspected of having peritonitis or bowel infarction. However, endovascular therapy has an evolving role and may serve as an important adjunct to anticoagulation in selected patients with acute PMVT.

Keywords

portal vein thrombosis - mesenteric vein thrombosis - portomesenteric thrombosis - splanchnic vein thrombosis - mesenteric ischemia - portal vein - superior mesenteric vein - venous thrombolysis

Full Text

References

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